Wakabayashi Hidetaka
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position Professor and Division head |
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Article types | Original article |
Language | English |
Peer review | Peer reviewed |
Title | Dysphagia Assessed by the 10-Item Eating Assessment Tool Is Associated with Nutritional Status and Activities of Daily Living in Elderly Individuals Requiring Long-Term Care. |
Journal | Formal name:The journal of nutrition, health & aging Abbreviation:J Nutr Health Aging ISSN code:17604788/12797707 |
Domestic / Foregin | Foregin |
Volume, Issue, Page | 20(1),pp.22-27 |
Author and coauthor | Wakabayashi Hidetaka, Matsushima Masato |
Authorship | Lead author,Corresponding author |
Publication date | 2016/01 |
Summary | OBJECTIVES:The 10-item Eating Assessment Tool (EAT-10) is a self-administered questionnaire for dysphagia screening, with each item scored from 0 to 4. We assessed the associations among the EAT-10 score, nutritional status and activities of daily living (ADL) in elderly individuals requiring long-term care.DESIGN:Cross-sectional study.SETTING:Geriatric health services facilities, acute hospitals, and the community.PARTICIPANTS:Elderly individuals ≥65 years of age with dysphagia or possible dysphagia (N=237).MEASUREMENTS:The EAT-10, the Mini Nutritional Assessment Short Form (MNA-SF) and the Barthel Index.RESULTS:There were 90 males and 147 females. Mean age was 82 ± 8 years. Eighty-nine were in geriatric health services facilities, 28 were in acute hospitals, and 120 were community-dwelling. The median Barthel Index score was 55 (interquartile range: 25, 80). The median EAT-10 score was 1 (interquartile range: 0, 9), and 101 respondents a score > 3, indicating the presence of dysphagia. The MNA-SF revealed that 81 were malnourished, 117 were at risk of malnutrition, and 39 had a normal nutritional status. The Barthel Index score and MNA-SF score were significantly lower in those with an EAT-10 score between 3 and 40, compared to those with an EAT-10 score between 0 and 2. The EAT-10 has an independent effect on the Barthel Index and the MNA-SF by adjusting for covariates such as age, gender, and setting in multiple regression analysis.CONCLUSIONS:Dysphagia assessed by the EAT-10 is associated with nutritional status and ADL in elderly individuals requiring long-term care. |
DOI | 10.1007/s12603-016-0671-8 |
PMID | 26728929 |